Medication Access Specialist

Department:

38496 Wake Forest Baptist Medical Center - Pharmacy: Non Hematology HOPD Clinics

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday-Friday, 1st shift

Pay Range

$22.50 - $33.75

Position Highlights 

• Full-Time, Days
• 1st shift
• Winston Campus
• $6,000 sign-on bonus eligible position for qualified candidates!   Click here for more information!

How You’ll Impact Patient Care:

Your responsibilities may include, but are not limited to:

• Navigates various options for receiving prior authorization requests and further utilizing systems to find resources that best fit the patient's needs, as applicable.
• Provides assistance to a subset of patients by completing Patient Assistance Program (PAP) applications and co-pay assistance applications.
• Assists patients by explaining the medication access process, which may include completing applications and reviewing documents required to complete the application.
• In collaboration with pharmacists, completes medication reconciliation, reviews prescription claim history for medication adherence and documents findings in the electronic health record, as applicable. Also available to patients and families to triage questions regarding medication access needs.
• Verifies patient insurance benefits to minimize patient cost.
• Completes PAP and copay assistance applications, records qualitative monthly/quarterly feedback, refill reminders and medication shipment scheduling, and patient re-enrollment in appropriate assistance programs, as appropriate.
• Apply co-pay assistance payments to the appropriate patient account, as applicable.
• Performs data entry and prepares tracking reports for both internal and external stakeholders.
• Garners and maintains knowledge of Health Plan compliance requirements, healthcare operations, and medical terminology.
• Efficiently determines a patient's ability to utilize enterprise pharmacy services. Routes prescriptions to appropriate pharmacy, as necessary.
• Supports the development of methods of communication and coordination with patient care team to ensure timely and accurate fulfillment of orders for patient requests and clients.
• Maintains updated knowledge and skills and contributes to the education of others.
• Participates in planning processes by establishing personal goals to support quality improvement efforts and contributes to the achievement of departmental objectives.
• Audits own performance and recommends objectives and standards of performance.
• Contributes positively to execution of pharmacy department initiatives.
• Accepts assignments of tasks from other pharmacy teammate roles when workload dictates.
• Any other duties as assigned.

Education

• High school diploma required or GED equivalent.

Certification / License

• Registration with state board of pharmacy per state of employment requirements.
• Certification through Pharmacy Technician Certification Board (CPhT) or National Healthcareer Association (ExCPT).

Nice To Have (Not Required) 

• Associate degree or bachelor’s degree preferred.
• Three years’ pharmacy experience and two years call center or customer service experience highly preferred.
• Retail pharmacy or healthcare/medical group experience and two years of healthcare related billing preferred.
• PTCB technician certification (CPhT) preferred.
• North Carolina Board of Pharmacy registration required within 30 days of employment.
• PTCB technician certification (CPhT) within 180 days of employment.

Physical Requirements and Working Conditions

• Generally exposed to normal office environment.
• Work requires attention to detail and mental/visual acuity.
• Extended periods of sitting.
• Extended periods of working on a computer.
• Subject to multiple tasks in a high-pressure/high-performance environment.
• Must have functional speech, vision, and hearing.
• Operates all equipment necessary to perform the job.

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individ